Created at:1/13/2025
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Ko te rongoā whakamomori ā-rohe e tukuna ana mā te ara parenteral te tikanga he rongoā whakamomori ka werohia tika ki tō tinana mā te ngira, te raina IV rānei. Mā tēnei tikanga e tuku te rongoā ki te wāhi e tika ana kia aukati i ngā tohu mamae i ngā wāhi motuhake o tō tinana.
Kāore i rite ki ngā kirīmi whakamomori ā-rohe ka pania e koe ki tō kiri, ka mahi ngā rongoā whakamomori ā-rohe parenteral mai i roto ki waho. He mea whakamahi noa i ngā wā o ngā tikanga rongoā, ngā pokanga, me ngā mahi niho kia noho pai koe i te wā e mahi ana ngā tākuta ki a koe.
Ko te rongoā whakamomori ā-rohe mā te ara parenteral he rongoā whakamomori ka tukuna tika ki tō tinana mā te werohanga, IV, ētahi atu tikanga rānei e hāngai ana ki te ngira. Ko te kupu "parenteral" te tikanga noa ka karo te rongoā i tō pūnaha kūnatu, ka haere tika ki ō kiko, ki tō toto rānei.
Whakaarohia he whakamaumahara mamae e mahi ana i te wāhi e hiahia ana tō tākuta. Ka aukati te rongoā i ngā tohu io i taua wāhi motuhake, nā reira e kore koe e pōuri i ngā tikanga rongoā. Ka whakahaere tō tākuta i te nui o te rongoā ka whiwhi koe me te wāhi e haere ana i tō tinana.
Ka taea e tēnei huarahi te inenga tika me te pānga tonu. Ka tīmata te mahi a te rongoā i roto i ngā meneti, ā, ka roa pea mai i te 30 meneti ki te maha o ngā hāora, i runga i te momo e whakamahia ana.
Ka whakamahia ngā werohanga rongoā whakamomori ā-rohe i ngā wā katoa e hiahia ana ngā tākuta ki te whakamomori i tētahi wāhi motuhake o tō tinana mō ngā tikanga rongoā. Ka tūtaki koe ki tēnei momo whakamaumahara mamae i roto i te maha o ngā āhuatanga rongoā noa.
Anei ngā āhuatanga matua e whakamahi ai tō kaiwhakarato hauora i ngā rongoā whakamomori ā-rohe parenteral:
Ka whiriwhiria e tō tākuta tēnei tikanga nā te mea e whakarato ana i te whakaiti mamae pono, whāinga hoki, kāore e pā ana ki tō tinana katoa. Ko te tikanga ka taea e koe te noho mataara me te tūpato i ngā tikanga, i te wā e noho pai ana koe i te wāhi rongoā.
Ka mahi ngā werohanga anesthetic ā-rohe mā te aukati i ngā awa konutai i roto i ō pūtau io. Mā tēnei e ārai ai ngā tohu mamae mai i te haere mai i te wāhi werohanga ki tō roro, nō reira kāore koe e rongo i ngā mea e pā ana ki taua wāhi.
I te wā e werohia ana e tō tākuta te rongoā, ka horahia puta noa i ngā kiko huri noa i te wāhi werohanga. Ka kitea e te rongoā ngā pito io, ā, ka "whakaweto" i a rātou mō tētahi wā. Ka mau tonu ō rongo i ngā wāhi katoa o tō tinana.
E whakaarohia ana ēnei rongoā he kaha ngawari, he tino whai hua hoki mō tā rātou kaupapa. He tere te tīmatanga, i roto i te 5-15 meneti te nuinga, ā, ka ngaro haere ngā pānga i te wā e whakawātea ana tō tinana i te rongoā. He rerekē te kaha me te roa o te mahi o ngā momo anesthetic ā-rohe.
E whakawhirinaki ana tō whakarite ki te tikanga motuhake e pā ana ki a koe, engari ko te nuinga o ngā werohanga anesthetic ā-rohe e hiahia ana kia iti te whakarite. Ka hoatu e tō kaiwhakarato hauora ngā tohutohu motuhake ki a koe i runga i tō āhuatanga.
I te nuinga o te wā, ka taea e koe te kai me te inu noa i mua i te whiwhinga i ngā werohanga rongoā whakamomori. Kāore i rite ki te rongoā whakamomori whānui, kāore koe e hiahia ki te nohopuku i mua. Heoi anō, he ētahi tikanga ka whai whakaritenga kai motuhake, nā reira me whai tonu i ngā tohutohu takitahi a tō tākuta.
Me whakamōhio atu ki tō kaiwhakarato hauora mō ngā rongoā katoa e inu ana koe, tae atu ki ngā rongoā e hokona ana i te tātā me ngā taapiri. He ētahi rongoā whakaheke toto ka hiahia kia whakamutua mō tētahi wā i mua i ētahi tikanga. Me whakamōhio atu hoki ki a rātou mō ngā pānga mate pāwera katoa e pā ana ki a koe, ina koa ki ngā rongoā whakamomori, ki ngā pūtiaki rānei.
Mau i ngā kākahu hāneanea, whānui e taea ai te uru atu ki te wāhi maimoatanga. Mēnā kei te mahi niho koe, karo i te mau i te whakapaipai taumaha, i ngā whakapaipai rānei e pā ana ki te tikanga.
Ko te roa o ngā pānga o te rongoā whakamomori ka rerekē i runga i te rongoā motuhake e whakamahia ana me te wāhi o te werohanga. Ko te nuinga o ngā rongoā whakamomori e whakamahia ana ka pānga i waenga i te 1-4 haora, ahakoa ka taea e ētahi te whakarato i te mōmona mō te 8 haora.
Ko ngā rongoā whakamomori e pānga ana i te wā poto pēnei i te lidocaine te tikanga ka whakarato i te mōmona mō te 1-2 haora. Ko ngā kōwhiringa e pānga ana i te wā roa pēnei i te bupivacaine ka taea te pānga mō te 4-8 haora. Ka whiriwhiria e tō tākuta te momo tika i runga i te roa o tō tikanga me te nui o te whakamarie i muri i te tikanga e hiahia ana koe.
Ka kite koe i te mōmona e ngaro haere ana i te hokinga mai o te rongo noa. He ētahi tāngata ka pā te ngāwari i te wā e ngaro ana te rongoā, he mea noa tēnei. Ka paku ngawari te wāhi werohanga mō te rā, e rua rānei i muri mai.
Ko te nuinga o ngā tāngata e pai ana ki ngā werohanga rongoā whakamomori, me ngā pānga taha he ngawari, he wā poto noa iho. Ko ngā pānga tino noa ka puta i te wāhi werohanga tonu, ka ngaro wawe.
Anei ngā pānga taha tino noa ka pā ki a koe:
Ko ēnei pānga noa ka ngaro i roto i te 24-48 haora, ā, kāore he rongoā motuhake e hiahiatia ana. Ka tukatukahia e tō tinana te rongoā, ā, ka hoki haere te tairongo noa.
Ko ngā pānga taha kāore i te noa engari he tino kino, me whai tonu te āwhina hauora. Ahakoa he onge, he mea nui kia mōhio ki ēnei tohu:
Whakapā atu ki tō tākuta hauora tonu ki te pōroko koe i ēnei tohu kino. Ka taea e rātou te whakarato i te rongoā tika, me te whakarite i tō haumaru.
Ahakoa he haumaru ngā werohanga rongoā ngongoro ā-rohe mō te nuinga o ngā tāngata, me whai whakaaro motuhake, me ētahi atu huarahi mō ētahi āhuatanga me ngā tūāhuatanga. Ka āta arotakehia e tō tākuta tō hītori hauora i mua i te haere tonu.
Me whakamōhio koe ki tō tākuta hauora ki te mea kei a koe ētahi o ēnei āhuatanga:
Kāore e whakakore aunoa i a koe te whai i ēnei āhuatanga mai i te whiwhi rongoā whakamoe ā-rohe, engari me whakamahi pea tō tākuta i ētahi rongoā kē, me tūpato anō. Ka mahi rātou i te taha o koe ki te kimi i te huarahi haumaru mō tō āhuatanga motuhake.
Me whai whakaaro anō te hapū me te whāngai ū, ahakoa he maha ngā rongoā whakamoe ā-rohe e whakaarohia ana he haumaru i ēnei wā. Mā tō kaiwhakarato hauora e whiriwhiri te kōwhiringa e tika ana mōu me tō pēpi.
He maha ngā waitohu rongonui e hanga ana i ngā rongoā whakamoe ā-rohe mō te whakamahi i roto i te tinana. Mā tō kaiwhakarato hauora e whiriwhiri te mea e tika ana i runga i ō hiahia motuhake me te tikanga e mahia ana.
Ngā ingoa waitohu noa ko Xylocaine (lidocaine), Marcaine (bupivacaine), me Carbocaine (mepivacaine). He rerekē ngā āhuatanga o ia mea i te tere o te mahi me te roa o te pānga. Ka whiriwhiria e tō tākuta te kōwhiringa pai rawa atu i runga i te roa o te tikanga me ō hiahia takitahi.
He rite tonu te whai hua o ngā putanga whānui o ēnei rongoā ki ngā ingoa waitohu. Ko te tikanga ka whai rongoā tō whare hauora i te putanga e whakarato ana i te huinga pai rawa atu o te whai huatanga, te haumaru, me te whai hua o te utu mō ō rātou tūroro.
Ki te kore e taea e koe te whiwhi werohanga rongoā whakamoe ā-rohe tuku iho, he maha ngā kōwhiringa kē ka taea te whakarato i te whakamaunga mamae i ngā tikanga rongoā. Ka taea e tō kaiwhakarato hauora te kōrero mō ēnei kōwhiringa i runga i tō āhuatanga motuhake me ō hiahia rongoā.
Ka whai hua ngā kirīmi, ngā hāreera rānei e whakamoe ana mō ngā tikanga kiri iti, ahakoa kāore e uru hōhonu pēnei i ngā werohanga. Ka taea e ngā tikanga whakamoe ā-rohe pēnei i ngā aukati io te whakamoe i ngā wāhi nui ake mā te whakamahi i ngā wāhi werohanga rerekē. Mō ētahi tikanga, ka tika pea te whakamoe mā te mōhiotanga me te rongoā mamae.
I ngā wā onge ka kore e tika ngā kōwhiringa rongoā whakamoe ā-rohe katoa, ka tūtohu pea tō tākuta i te rongoā whakamoe whānui mō ngā tikanga whānui ake. Ka mahi tonu rātou ki a koe kia kitea te huarahi haumaru me te pai rawa atu mō tō āhuatanga motuhake.
He kaha ō te werohanga rongoā whakamoe ā-rohe me ngā rongoā whakamoe ā-runga, ā, ko te kōwhiringa pai rawa atu ka whakawhirinaki ki tō tikanga me ō hiahia. Kāore tētahi i te "pai" ake i tētahi.
E whakarato ana ngā rongoā whakamoe ā-rohe parenteral i te mōmona hōhonu, pono ake, ā, he tere ake te mahi i ngā kōwhiringa ā-runga. He mea nui rātou mō ngā tikanga e haere ana i raro i te mata o te kiri, e hiahia ana rānei kia whakakorehia te mamae. He pai ake hoki te matapae me te roa ake o ngā pānga.
He ngawari ake ngā rongoā whakamoe ā-runga, ā, kāore e hiahiatia he ngira, e pai ana mō ngā tikanga ā-mata, mō ngā tūroro e mataku ana i te ngira. Heoi anō, ka mōmona noa iho rātou i ngā paparanga o runga o te kiri, ā, ka roa te mahi. Mō ngā tikanga hōhonu ake, ko ngā werohanga te paerewa koura mō te whakahaere mamae pono.
Ka tūtohu tō kaiwhakarato hauora i te kōwhiringa e tika ana i runga i te hōhonu o tō tikanga, tō taumata whakamarie ki ngā ngira, me tō hītori hauora.
Ko te nuinga o ngā werohanga rongoā whakamoe ā-rohe he haumaru mō ngā tāngata e pā ana ki te manawa, ahakoa ka tūpato anō tō tākuta. Kua hangaia ngā rongoā whakamoe ā-rohe hou kia iti ai ngā pānga ki tō manawa, ā, ko ngā horopeta e whakamahia ana he iti noa iho i ngā mea ka raru ai te manawa.
Ka mahi tahi tō tākuta ngākau me te kaiwhakarato hauora e mahi ana i tō tikanga kia mōhio ai kei te haumaru koe. Ka kōwhiria pea e rātou ētahi momo rongoā whakamoe ā-rohe e ngawari ana ki tō ngākau, ka whakatika rānei i te horopeta. Me whakamōhio tonu ki ō kaiwhakarato hauora katoa mō tō āhuatanga ngākau i mua i tētahi tikanga.
He mea pāwhara te nui rawa o te rongoā whakamoe ā-rohe nā te mea ka tātai mārire ngā kaiwhakarato hauora i ngā horopeta tika, engari he mea nui kia mōhio ki ngā tohu. Ko ngā tohu pea ko te whanoke nui, te ngākau pōrearea, te uaua ki te manawa, te moe rānei.
Mēnā ka pā ki a koe ētahi o ēnei tohu i te wā, i muri rānei i te whiwhinga i te rongoā whakamoe ā-rohe, kōrero tonu ki tō kaiwhakarato hauora. He rongoā me ngā taputapu ā rātou hei rongoā i ngā tauhohenga whakamoe i te tere me te whai hua. Kaua e ngana ki te rongoā i ēnei tohu i a koe anō - rapua tonu te āwhina hauora.
I ētahi wā, ka roa ake te mōmona mai i ngā werohanga rongoā whakamoe ā-rohe i te mea e tūmanakohia ana, ahakoa he mea pāwhara tēnei. Ko te nuinga o te mōmona roa ka ngaro i roto i te 24-48 haora i te wā e tukatuka ana tō tinana i te rongoā.
Whakapā atu ki tō kaiwhakarato hauora mēnā ka mau tonu te mōmona i tua atu i te 24 haora, mēnā ka whanake koe i ngā tohu hou pēnei i te mamae nui, i ngā tohu rānei o te mate. Ka taea e rātou te arotake mēnā he rereketanga noa tēnei, me rānei te rongoā. I te nuinga o ngā wā, ka ngaro katoa te mōmona roa me te kore he pānga pumau.
Ka taea e koe te hoki ki te nuinga o ngā mahi noa i muri tonu i te whiwhinga i te rongoā whakamoe ā-rohe, ahakoa me tūpato koe ki te wāhi mōmona kia hoki mai anō te rongo. Kaua e mahi i ngā mahi ka whara i te wāhi mōmona nā te mea kāore koe e rongo i te mamae e tiaki ana i a koe.
Mō ngā mahi niho, karo i ngā kai wera me ngā inu kia ngaro ra ano te māngere, kei tahuna koe i a koe anō. Mēnā i werohia koe ki ō ringa, ki ō waewae rānei, kia tūpato ki ngā mahi e hiahia ana ki te whakahaere pai, ki te taurite rānei kia hoki katoa mai te ngākau.
Ko te taraiwa i muri i ngā werohanga rongoā māngere e whakawhirinaki ana ki te wāhi me te nui o te māngere, me ētahi atu rongoā i whiwhi koe. Mēnā he wāhi iti noa iho i māngere, ā, e mōhio ana koe he mārama, he pai hoki, he haumaru te taraiwa.
Heoi, karo i te taraiwa mēnā i whiwhi koe i te rongoā whakamārie me te rongoā māngere, mēnā e mōhio ana koe he whanoke, he kore rānei i te pai, mēnā rānei ka pā te māngere ki tō kaha ki te whakahaere i ngā mana o te waka. Ki te ruarua, whakarite kia taraiwa tētahi atu i a koe ki te kāinga, ā, tatari kia tino noa koe i mua i te taraiwa anō.